Journal article
Purpura Fulminans: a Rare but Fierce Presentation of Pneumococcal Sepsis
European journal of case reports in internal medicine, v 7(1), 001373
2020
PMID: 32015972
Abstract
Infectious purpura fulminans (PF) is a rare presentation of disseminated intravascular coagulopathy (DIC) due to diffuse intravascular thrombosis and haemorrhagic infarction of the skin. PF can present in infancy/childhood or adulthood and usually presents as ecchymotic skin lesions, fever and hypotension. It is most commonly a consequence of sepsis related to
,
or
. Despite aggressive management of sepsis with intravenous fluids, antibiotics, and conventional and nonconventional therapies, the condition still carries a mortality rate of 43%
.
mostly presents with community-acquired pneumonia. We present a case of PF secondary to DIC related to Pneumococcal sepsis in an otherwise healthy and immunocompetent patient.
Infectious purpura fulminans is a haematological emergency that demands early recognition and timely institution of therapy to prevent significant morbidity and mortality.A characteristic skin rash is a key diagnostic clue pointing to purpura fulminans, and should lead to prompt institution of therapy, as waiting for a skin biopsy result can delay the diagnosis and result in significant morbidity and mortality.Due to the lack of prospective data on management of the condition, various modalities, such as hyperbaric oxygen therapy and IVIG, still have questionable benefits. We therefore aim to expand knowledge of purpura fulminans management.
Metrics
1 Record Views
Details
- Title
- Purpura Fulminans: a Rare but Fierce Presentation of Pneumococcal Sepsis
- Creators
- Adeel Nasrullah - University of PittsburghAnam Javed - Department of Internal Medicine, University College of Medicine and Dentistry, Lahore, PakistanUsman Tariq - Allegheny Health NetworkMeilin Young - Allegheny Health NetworkZunera Moeen - The University of Texas of the Permian BasinMarvin Balaan - Allegheny Health Network
- Publication Details
- European journal of case reports in internal medicine, v 7(1), 001373
- Publisher
- SMC Media
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Scopus ID
- 2-s2.0-85136596834
- Other Identifier
- 991022084055804721